Janczak Dariusz, Malinowski Maciej, Bąkowski Wojciech, Krakowska Katarzyna, Marschollek Karol, Marschollek Paweł, Chabowski Mariusz
Division of Surgical Specialties, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland.
Department of Surgery, 4th Military Teaching Hospital, Wroclaw, Poland.
Ann Thorac Cardiovasc Surg. 2017 Jun 20;23(3):135-140. doi: 10.5761/atcs.oa.16-00282. Epub 2017 May 11.
Peripheral arterial disease (PAD) affects 3%-10% of the population before the age of 70 years and 15%-20% after that age.The aim of the study was to compare the incidence of complications and secondary interventions in patients who underwent each type of treatment.
We analyzed 734 medical records of the Department of Surgery at the 4th Military Teaching Hospital in Wroclaw, In total, 394 were operated on with open surgery; an endarterectomy (59.39%), a vascular prosthesis implantation (31.01%), or both of these techniques (6.6%), and 340 patients had angioplasty with (50.59%) or without stenting (49.41%).
There were no statistically significant differences in the incidence of corresponding complications. The exception was the infection of the wound; significantly fewer were reported in the case of endovascular procedures (p = 0.0087). There were 12 occasions (3.53%) during endovascular surgeries when intraoperative conversion or re-operation using the open method occurred. In the case of open surgery, the mean hospital stay was 7.77 days (median: 8, mode: 8), while for endovascular management it was equal to 4.68 days (median: 4, mode: 3), p <0.0001.
The endovascular method results in a similar re-operation rate and number of complications as open surgery.
外周动脉疾病（PAD）在70岁之前影响3%-10%的人群，70岁之后影响15%-20%的人群。本研究的目的是比较接受每种治疗类型的患者并发症发生率和二次干预情况。
我们分析了弗罗茨瓦夫第四军事教学医院外科的734份病历。总共有394例患者接受了开放手术，其中内膜切除术（59.39%）、血管假体植入术（31.01%）或两种技术均采用（6.6%）；340例患者接受了有支架（50.59%）或无支架（49.41%）的血管成形术。
相应并发症的发生率无统计学显著差异。伤口感染除外，血管内手术报告的此类感染明显较少（p = 0.0087）。血管内手术中有12次（3.53%）出现术中转为开放手术或再次手术的情况。开放手术患者的平均住院时间为7.77天（中位数：8，众数：8），而血管内治疗为4.68天（中位数：4，众数：3），p <0.0001。
血管内治疗方法导致的再次手术率和并发症数量与开放手术相似。
